Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409)

ICR 202305-0938-006

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1163 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10409 Long Term Care Data Set Form and Instruction	Modified
CMS-10409_Supporting Statement Part A_5.1_v9_to 508.docx Supporting Statement A	2023-05-31

IC Document Collections

IC ID	Document Title	Status
201171	Long Term Care Data Set Form and Instruction	Modified

ICR Details